Loading...
HomeMy WebLinkAboutC & S Excavation (2).4C EP CERTIFICATE OF LIABILITY INSURANCE ATE D10/01/202YY) 10I0112024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FIG Insurance - National 6206 N Discovery Way, Ste 102 BOISE, ID 83713 CONTACT NAME: Traci Williams PHONE 208-991-3494 Fa G No ADDRESS: traci,williams@ftgnow.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Auto Owners Insurance 18988 INSURED INSURERB: ID State Insurance Fund 36129 C & S Excavation, Inc. INSURER C : 1790 Garrison Ln INSURER D : Kuna, ID 83634 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 00135784-4724774 REVISION NUMBER: 98 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THfS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AODL SUBR POLICY NUMBER POLICY EFF MMN)D POLICY EXP MMW IDD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 57906395 08/0812024 08/0812025 EACH OCCURRENCE $ 1,000.000 DAMAGE TO RENTEIT PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [j] JECTPRO- LOG OTHER: GENERAL AGGREGATE $ 2.000.000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 4690639502 08108/2024 0810812025 COMBI n SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per adenil r: $ kANYAUTO PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE 4690289600 0810812024 08/0812025 EACHOCCi:RRFNCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERfEXECUTIVE -- OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N yes, describe under DESCRIPTION OF OPERATIONS below N I A 543828 1010112024 1010112025 X PER OTH- STATUTE ER t:.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Rented Equipment 57906395 0810812024 08108/2025 Ded 1000 200,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) Certificate Holder is listed as an additional insured with respect to general liability and auto if required or agreed to in a written contract subject to all provisions and limitations of the policy. A Waiver of Subrogation in favor of Certificate Holder applies with respect to general liability, auto and workers compensation if required or agreed to in a written contract subject to all provisions and limitations of the policy. la:�ll� Vf_Tl�aalRal�;1 City of Caldwell PO BOX 1179 Caldwell, ID 83606 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE (� T (y i �jn�}r, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN E, i 11 I 2024 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE �'iC•� w (TD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by TDW on 10(OV2024 at 07.52AM